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The 2014 health insurance exchange (HIX) open enrollment season is now over, and the first round of results are in. Initial estimates as of April 19, 2014, suggest that more than 8 million individuals are now enrolled in health insurance coverage through the federally-facilitated or state-based HIXs. The latest report from the U.S. Department of Health and Human Services (HHS) gives a snapshot of these 8 million individuals, highlighting the age and gender of the individuals as well as their plan level and financial assistance selections. What the numbers don’t say, however, is becoming a greater focus for stakeholders in the health care industry. This infographic gives a view into the latest enrollment figures from HHS and highlights uncertainties the industry could face as stakeholders begin placing bets for 2015 HIX open enrollment and beyond. For more, visit http://blogs.deloitte.com/centerforhealthsolutions/2014/05/infographic-no-time-to-slow-down-looking-ahead-to-2015-hix-open-enrollment.html
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54%
46%
HIX PLAN SELECTIONBY GENDER
65%
SILVER PLAN
of persons who have selected a HIX plan selected one with financial assistance
85% HIX PLAN SELECTIONBY FINANCIAL ASSISTANCE
Follow @DeloitteHealth #HIXplans
20%
BRONZE PLAN9%
GOLD PLAN
5%
PLATINUM PLAN 2%
CATASTROPHIC PLAN
No time to slow down:Looking ahead to 2015 HIX open enrollment
TOTAL number of eligible persons who have selected a plan through the
state-based and federally-facilitated HIXs
State-based HIX enrollees2,573,585
Federally-facilitated HIX enrollees5,446,178
STATE AND FEDERAL NUMBERS
HIX PLAN SELECTION by METAL LEVEL
As used in this document, “Deloitte” means Deloitte LLP and its subsidiaries. Please see www.deloitte.com/us/about for a detailed description of the legal structure of Deloitte LLP and its subsidiaries. Certain services may not be available to attest clients under the rules and regulations of public accounting.
Copyright ©2014 Deloitte Development LLC. All rights reserved.Member of Deloitte Touche Tohmatsu Limited
Deloitte Center for Health Solutions
6% Age <18
11% Age 18–25
17% Age 26–34
HIX PLAN SELECTIONBY AGE
OF ENROLLEES ARE AGE 18-24
28% 17% Age 35–44
23% Age 45–54
25% Age 55–64
BY THE NUMBERS
BEYOND THE NUMBERS
As stakeholders begin placing bets for 2015 HIX open enrollment and beyond, what uncertainties could the health care industry face?
Increasing patient loads and narrowing networks: As patient rolls stretch and networks become smaller, providers will likely need to adapt.
Consumer attitudes and behaviors: Enrollment numbers reveal age and gender, but cannot predict how consumers will spend or what their health behaviors might be.
Potential regulatory, legislative, and judicial changes: The landscape could continue to change as regulations, guidance, and rules continue to evolve.
Variation across states: Operational approaches, eligibility requirements, and technical difficulties look different in every state, and for some, could even change.
New options and products: Different products and approaches could be successful in getting the uninsured consumers who remain on the sidelines off the bench and in the game.
Reactions to prescription drug spending: Specialty drug spending has come into focus and greater utilization management might be the answer.
8 MILLION
On May 1, 2014, the U.S. Department of Health and Human Services released the summary report for the initial HIX open
enrollment period. What do the numbers say?
Note: In this document, HIX = health insurance exchange. Percentages have been rounded. Some numbers may not add to totals due to rounding.
Source: Health Insurance Marketplace: Summary Enrollment Report for the Initial Annual Open Enrollment Period. HHS. May 1, 2014
